Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $108.50 / $3,073.00	Facility		$108.50	$108.50	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $108.50 / $175.40	Professional		$91.88	$108.50	$175.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $249.31 / $311.64	Professional		$191.52	$249.31	$311.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.99 / $191.67 / $310.36	Facility		$131.99	$191.67	$310.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $237.70 / $2,987.00	Professional		$118.18	$237.70	$2,987.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.79 / $264.64 / $953.00	Facility		$176.79	$264.64	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $250.49 / $307.45	Professional		$176.79	$250.49	$307.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $195.75 / $223.18	Professional		$143.19	$195.75	$223.18
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $203.80 / $317.02	Professional		$118.18	$203.80	$317.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.40 / $270.89 / $270.89	Professional		$221.40	$270.89	$270.89